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802502

registered interest
date	07/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Juries
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what assessment they have made of the impact of jury service on the availability of GPs; and whether the Department of Health has any plans to request that the Ministry of Justice exempt GPs from jury service from where there is a shortage of NHS provision.
tabling member printed	Baroness Gardner of Parkes
uin	HL3964
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>As independent contractors, it is for individual general practitioner (GP) practices to ensure their registered patients continue to have access to primary medical services where a GP is absent on jury service.</p><p> </p><p>The Department has no plans to request an exemption from jury service for GPs.</p> answering member printed Lord O'Shaughnessy question first answered 19/12/2017 15:28:26 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3596 label Biography information for Baroness Gardner of Parkes

792907

registered interest
date	21/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Royal Brompton and Harefield NHS Foundation Trust
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government, in the light of the announcement by the Royal Brompton and Harefield NHS Foundation Trust and King's Health Partners that they intend to create a new clinical academic facility for cardiovascular and respiratory services, whether they intend to review the proposal from NHS England to close the Royal Brompton and Harefield NHS Foundation Trust's congenital heart disease services.
tabling member printed	Baroness Gardner of Parkes
uin	HL3431
answer	answer is ministerial correction date of answer 05/12/2017 answer text <p>At its public meeting on 30 November 2017 and following its review of and public consultation on Congenital Heart Disease (CHD) services in England, the NHS England Board agreed to note the outline proposal presented by the Royal Brompton and Harefield NHS Foundation Trust for how full compliance against the standards might be achieved; to confirm that NHS England should work with the Royal Brompton and other potential partners on the full range of options for delivering a solution that could deliver full compliance with the standards and ensure the sustainability of other connected services; and to continue to commission level 1 CHD services from the Trust, conditional on the Trust demonstrating sufficient progress within required timescales.</p><p> </p><p>The commissioning of CHD services in England is a matter for NHS England. The Government will continue to hold NHS England to account as it takes forward the recommendations of its review.</p> answering member printed Lord O'Shaughnessy question first answered 05/12/2017 13:45:37 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3596 label Biography information for Baroness Gardner of Parkes

718236

registered interest
date	06/04/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases: Surgery
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government how many operations treating congenital heart conditions were conducted by the Royal Brompton Hospital in London in each of the last three years for (1) adults, and (2) children; and which other hospitals in England and Wales conducted as many, or more, such operations during that period.
tabling member printed	Baroness Gardner of Parkes
uin	HL6735
answer	answer is ministerial correction date of answer 20/04/2017 answer text <p>The Royal Brompton Hospital conducted a total of 522 operations for congenital heart disease (CHD) conditions in 2015/16, comprising 390 operations for children and 132 operations for adults. In 2014/15, the Royal Brompton’s surgical activity comprised 512 operations for CHD conditions, which included 370 operations for children and 142 operations for adults. Surgical activity in 2013/14 at the Royal Brompton comprised 412 CHD operations for children and 125 CHD operations for adults, which gives a total of 537 CHD operations for that year.</p><p> </p><p>The hospitals in England and Wales which conducted as many, or more, congenital heart disease operations for children and adults between 2013 and 2016 are Great Ormond Street Hospital, Birmingham Children’s Hospital, Evelina London Children’s Hospital, Leeds Children’s Hospital, Alder Hey Children’s Hospital, University College Hospital London, Queen Elizabeth Hospital Birmingham and St Bartholomew’s Hospital in London.</p><p> </p> answering member printed Lord O'Shaughnessy question first answered 20/04/2017 15:02:55 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3596 label Biography information for Baroness Gardner of Parkes

712568

registered interest
date	20/03/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Heart Diseases: Health Services
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government when NHS England expects to make a final decision on its review into congenital heart disease services.
tabling member printed	Baroness Gardner of Parkes
uin	HL6163
answer	answer is ministerial correction date of answer 28/03/2017 answer text <p>NHS England will make a decision on its proposals for changes to adult and children’s congenital heart services in England following a consultation which is now underway and which closes on 5 June 2017. It has worked, and will continue to work, with providers and other stakeholders to assess the impact of these proposals and will publish further information in due course.</p> answering member printed Lord O'Shaughnessy question first answered 28/03/2017 13:19:26 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	3596 label Biography information for Baroness Gardner of Parkes

655750

registered interest
date	09/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Commission on the Funding of Care and Support
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government whether the recommendations of the Dilnot Commission will be implemented by the end of this Parliament.
tabling member printed	Baroness Gardner of Parkes
uin	HL3992
answer	answer is ministerial correction date of answer 19/12/2016 answer text <p>The Government remains committed to introducing a cap on care costs and extension of means tested support, which will be implemented from April 2020.</p><p> </p><p>The Spending Review 2015 set budgets for the next four years to 2019-20. The final year includes funding to cover the costs of local authorities preparing to implement the changes the following year. Decisions about the allocation of funding for these reforms will be confirmed nearer the time.</p><p> </p><p>The Department will continue to develop the policy underpinning the cap on care costs in the run-up to a consultation on draft regulations and guidance in the summer of 2018. The Department will work closely with the sector to ensure that their views are taken into account as we plan for implementation.</p><p> </p><p>In addition to the cap on care costs, the Dilnot commission recommended the introduction of national eligibility criteria and universal Deferred Payment Agreements, both of which have been implemented from April 2015.</p> answering member printed Lord Prior of Brampton grouped question UIN HL3993 HL3994 question first answered 19/12/2016 16:54:18 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	3596 label Biography information for Baroness Gardner of Parkes

655751

registered interest
date	09/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services: Fees and Charges
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, in the light of the recommendations of the Dilnot Commission, when stakeholders, including local authorities, will be consulted on the implementation of the care cap; and what engagement mechanisms will be used.
tabling member printed	Baroness Gardner of Parkes
uin	HL3993
answer	answer is ministerial correction date of answer 19/12/2016 answer text <p>The Government remains committed to introducing a cap on care costs and extension of means tested support, which will be implemented from April 2020.</p><p> </p><p>The Spending Review 2015 set budgets for the next four years to 2019-20. The final year includes funding to cover the costs of local authorities preparing to implement the changes the following year. Decisions about the allocation of funding for these reforms will be confirmed nearer the time.</p><p> </p><p>The Department will continue to develop the policy underpinning the cap on care costs in the run-up to a consultation on draft regulations and guidance in the summer of 2018. The Department will work closely with the sector to ensure that their views are taken into account as we plan for implementation.</p><p> </p><p>In addition to the cap on care costs, the Dilnot commission recommended the introduction of national eligibility criteria and universal Deferred Payment Agreements, both of which have been implemented from April 2015.</p> answering member printed Lord Prior of Brampton grouped question UIN HL3992 HL3994 question first answered 19/12/2016 16:54:18 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	3596 label Biography information for Baroness Gardner of Parkes

655752

registered interest
date	09/12/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services: Finance
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government what steps they are taking to ensure that local authorities will have funds available to meet the recommendations of the Dilnot Commission; and how funding will be linked to local levels of need.
tabling member printed	Baroness Gardner of Parkes
uin	HL3994
answer	answer is ministerial correction date of answer 19/12/2016 answer text <p>The Government remains committed to introducing a cap on care costs and extension of means tested support, which will be implemented from April 2020.</p><p> </p><p>The Spending Review 2015 set budgets for the next four years to 2019-20. The final year includes funding to cover the costs of local authorities preparing to implement the changes the following year. Decisions about the allocation of funding for these reforms will be confirmed nearer the time.</p><p> </p><p>The Department will continue to develop the policy underpinning the cap on care costs in the run-up to a consultation on draft regulations and guidance in the summer of 2018. The Department will work closely with the sector to ensure that their views are taken into account as we plan for implementation.</p><p> </p><p>In addition to the cap on care costs, the Dilnot commission recommended the introduction of national eligibility criteria and universal Deferred Payment Agreements, both of which have been implemented from April 2015.</p> answering member printed Lord Prior of Brampton grouped question UIN HL3992 HL3993 question first answered 19/12/2016 16:54:18 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	3596 label Biography information for Baroness Gardner of Parkes

628238

registered interest
date	03/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Fluoride: Drinking Water
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answer by Earl Howe on 22 April 2013 (HL372), and in the light of the water supply being fluoridated in Birmingham but not Manchester, on what evidential basis their assessment was made that there are no significant differences in the general health of the populations of Manchester and Birmingham, other than differences in average decayed, missing and filled teeth.
tabling member printed	Baroness Gardner of Parkes
uin	HL2973
answer	answer is ministerial correction date of answer 17/11/2016 answer text <p>Health profiles maintained by Public Health England (PHE) show that there are no significant differences in the general health of the populations of Manchester and Birmingham that might be attributable to water fluoridation. PHE’s <em>Water fluoridation: Health monitoring report for England 2014</em> compared a range of dental and non-dental health indicators in fluoridated and non-fluoridated areas in England. The report concluded that water fluoridation is a safe and effective public health measure as there were reduced levels of tooth decay in fluoridated areas and no evidence of potential harm for the health indicators measured. A copy of this report is attached.</p> answering member printed Lord Prior of Brampton question first answered 17/11/2016 12:52:45 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Water fluoridation health monitoring for England__full_report_1Apr2014.pdf title Water fluoridation report
tabling member	3596 label Biography information for Baroness Gardner of Parkes

628239

registered interest
date	03/11/2016
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Fluoride: Drinking Water
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answer by Earl Howe on 22 April 2013 (WA 372), and in the light of proposals to introduce fluoride to tap water in Hull, what are the most recent figures for the average number of decayed, missing or filled teeth amongst (1) five year old children and (2) 12 year old children, in (a) Birmingham, and (b) Manchester.
tabling member printed	Baroness Gardner of Parkes
uin	HL2974
answer	answer is ministerial correction date of answer 16/11/2016 answer text <p>The most recent comparable statistics are from the Public Health England Dental Public Health Intelligence Programme. The 2015 survey of five-year-old children showed an average of 0.8 decayed, missing or filled teeth among children in Birmingham and 1.3 teeth among those in Manchester. A copy of the <em>National Dental Epidemiology Programme for England: oral health survey of five-year-old children 2015 A report on the prevalence and severity of dental decay</em> is attached. There are no more recent figures for twelve-year-old children than those given by Earl Howe in his response of 22 April 2013 (WA 372), the 2009 survey showing an average of 0.65 decayed missing or filled teeth in Birmingham and 1.12 in Manchester.</p> answering member printed Lord Prior of Brampton question first answered 16/11/2016 15:29:47 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name National Dental Epidemiology Programme for England oral health survey of five-year-old children 2015.pdf title Oral Health Survey report
tabling member	3596 label Biography information for Baroness Gardner of Parkes

418383

registered interest
date	11/09/2015
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Dental Services: Children
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty’s Government, further to the Written Answer by Lord Prior of Brampton on 27 July (HL1635), whether they have plans to introduce day surgery appointments for the clearance or extraction of deciduous teeth under general anaesthetic.
tabling member printed	Baroness Gardner of Parkes
uin	HL2177
answer	answer is ministerial correction date of answer 17/09/2015 answer text <p>Many extractions are already carried out on a day case basis; whether the extraction is carried out as a day case or requires an overnight admission is a matter for the clinicians involved.</p><p> </p><p> </p><p> </p><p>NHS England has advised that NHS Lancashire and Greater Manchester have for a number of years commissioned day case surgery as well as overnight admission for children who require a full clearance of deciduous teeth under general anaesthetic.</p><p> </p> answering member printed Lord Prior of Brampton question first answered 17/09/2015 16:27:15 answering member 127 label Biography information for Lord Prior of Brampton
tabling member	3596 label Biography information for Baroness Gardner of Parkes